Boiling Springs Pediatric & Family Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9501262 Issued in NC

Legal business name

BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE

Practice address

305 W College Ave
A
Shelby, NC 28152-8111

Phone

(704) 434-9686

Fax

(704) 434-9618

NPI assigned

Apr 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael James Grossell, DO

Title

Owner

Phone

(704) 434-9686

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1407172091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W COLLEGE AVE",
            "address_2": "A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528111",
            "telephone_number": "704-434-9686",
            "fax_number": "704-434-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COLLEGE AVE",
            "address_2": "A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528111",
            "telephone_number": "704-434-9686",
            "fax_number": "704-434-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "GROSSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-434-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9501262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407172091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiselle Marie Bock, MD
• Stephen J Bogan, M.D.
• Cynthia Fay Bohacek, FNP
• Diane Watson Boicourt, APRN FNP-BC
• Boiling Springs Life Saving & Rescue Unit, Inc. (Boiling Springs Rescue, Inc.)
• James John Bombenger, MD
• Jessi Bonacci, BSN, RN, IBCLC
• Joseph Bonacci, M.S., L.AC.
• Elizabeth Kathleen Wilson Borders, MD
• Matthew William Borders, D.D.S.

• Pediatrics Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.